Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Excellence
in Professional Practice
A GUIDE TO
AND
PRECEPTORSHIP
MENTORING
Achieving
Excellence
in Professional Practice
A GUIDE TO
AND
PRECEPTORSHIP
MENTORING
October 2004
All rights reserved. No part of this document may be reproduced, stored in a retrieval
system, or transcribed, in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without written permission of the publisher.
Canadian Nurses Association
50 Driveway
Ottawa ON K2P 1E2
Tel: (613) 237-2133 or 1-800-361-8404
Fax: (613) 237-3520
Web site: www.cna-aiic.ca
ISBN 1-55119-932-7
October 2004
Acknowledgements
We would like to acknowledge the following nurses who participated in the working groups
that developed the initial drafts of the competencies for preceptorship and mentoring:
October, 2004
Table of Contents
Part I Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Part II Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Role Models and Professional Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Who Is Involved in Role Modelling Programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Part III Preceptorship and Mentoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
What They Are and What Nurses Need to Know About Them . . . . . . . . . . . . . . . . . . . 13
Preceptorship . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Definition and Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Considerations for Successful Preceptorship Programs . . . . . . . . . . . . . . . . . . . . . 16
Rewards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Examples of Preceptorship Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Mentoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Definition and Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Considerations for Successful Mentoring Programs . . . . . . . . . . . . . . . . . . . . . . . 20
Rewards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Examples of Mentoring Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Coaching and Other Models for Integrating Work and Learning . . . . . . . . . . . . . . . . . . 22
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Part IV Developing Programs for Preceptorship and Mentoring . . . . . . . . . . . . . . . . 31
Steps for Developing a Successful Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Step 1: Assess Needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Step 2: Identify the Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Step 3: Create the Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
iii
iv
Part I:
Introduction
Introduction
Dear Colleagues,
The Canadian Nurses Association (CNA) is committed to enhancing the profession of
nursing in the interest of the public. One of our current priorities in support of this mission
is to promote the quality of practice environments to help nurses achieve excellence in
their professional practice.
The Guide to Preceptorship and Mentoring is an important tool for improving performance
and job satisfaction through role modelling programs for nurses. Role modelling programs
can help create a sense of achievement for both the role model (preceptor or mentor) and
the learner (preceptee or mentee). By building on our existing human health resources
experienced, competent nurses employers in the profession can foster healthier work environments and promote the successful transition and growth of new or developing nurses.
This guide is one step in CNAs Preceptorship and Mentoring Project, which also focused
on the development of competencies for preceptors and mentors in nursing. The results of
this unique and exciting work, including the final competency lists, are presented in Part V
of the guide.
This work has been received enthusiastically by all involved. We have discovered that
while much of the nursing community is in agreement on what preceptorship means to
them, there is a varied approach to the process of mentoring, which is emerging in a variety
of models across Canada in education, direct care, administrative and research work environments. Both preceptorship and mentoring hold much promise for making important differences in the quality of work life and practice quality for nurses.
The Guide to Preceptorship and Mentoring is also part of the series Achieving Excellence in
Professional Practice, as is the 2002 CNA document A Guide to Developing and Revising
Standards. These publications will be made available through the CNA website, at
www.cna-aiic.ca, and will serve as the foundation for further work in this area. I am
certain that the theoretical overview and the competencies developed through this
important project will continue to evolve within the dynamic world of nursing.
Yours sincerely,
Part II:
PHOTO: ITSTOCK
Overview
Overview
Purpose
The purpose of this guide is to assist nurses and other health professionals to develop and
revise programs that use preceptors and mentors to enhance the quality of nurses work environments and the quality of nursing practice.
This guide was written by the Canadian Nurses Association (CNA), whose mission is to advance
the quality of nursing in the interest of the public. In advancing the quality of nursing, CNA is fully
committed to shaping quality professional practice environments for nurses, so that they continue
to provide safe, ethical and competent care for Canadians. Having programs that support teaching
and learning through role modelling is a key part of a quality practice environment (CNA, 2001).
This guide is intended for individual nurses, health and educational institutions and professional groups. It can be a useful tool to achieve high quality programs that support
learning through preceptorship and mentoring, for example, in the following situations:
health care institutions wanting to:
improve the quality of practice environments
support novices in their direct practice at the unit or program levels
assist new professionals with socialization
provide resources nurses can use to further develop their competencies with respect to
any of the domains of practice (direct care, administration, education and research)
provincial or territorial registering bodies wanting to encourage continuing competence
nurse educators, educational institutions and students interested in teaching and learning through role models
administrators wishing to learn about role modelling programs for nurses
employers or educational facilities wishing to develop or improve a program
nurses and students in all settings wishing to develop a common understanding of the
concepts related to preceptorship and mentoring
Contents
This guide provides an overview of role modelling programs in nursing with a particular
focus on preceptorship and mentoring. It outlines considerations for setting up role modelling programs, including costs, benefits, roles and responsibilities. In addition, Part V of this
guide presents competencies1 for the roles of preceptor and mentor, which have recently been
developed through CNAs Preceptorship and Mentoring Project and could form the basis of
new programs. Some specific tools, guidelines, definitions and an extensive list of additional
references with relevant website contacts are also included.
For the purpose of this document, domains of nursing practice are direct care, education, administration and
research.
Role models have been used for a long time in professional education to enhance learning.
To be most effective, they must be part of an overall organizational strategy to create an
environment that is directed toward continuous learning. Continuous learning environments
enhance the quality of work life for health professionals, and they also improve outcomes
for clients.
Nurses can support nursing students, new graduates and nurses who are new to a particular role
by becoming role models. As role models, practising nurses become preceptors and/or mentors
to prepare nurses for new roles that may range from planning population-based programs to
acting as program managers, educators or researchers; or to providing direct care.
Individual Nurses
The Code of Ethics for Registered Nurses (CNA, 2002) states that nurses share their nursing
knowledge with other members of the health team for the benefit of clients. To the best of
their abilities, nurses should provide mentorship and guidance for the professional development of students of nursing and other nurses (p. 16).
Individual nurses are also responsible for acquiring the competencies they require to become
good preceptors and mentors. There may be some competencies that are best learned from
non-nurse professionals. In these cases, a nurse might invite a non-nurse to fulfill the preceptor or mentor role. Where programs do not exist, nurses may need to advocate for the
resources necessary to develop and implement these programs.
Professional Associations
Professional associations are responsible for advocating for funding adequate for the
development and ongoing maintenance of preceptorship and mentoring of nurses. They
are also responsible for setting and enforcing competencies for the profession.
References Part II
Canadian Nurses Association. (1995). Preceptorship resource guide: Teaching and learning
with clinical role models. Ottawa: Author.
Canadian Nurses Association. (2004). Blueprint for the Canadian registered nurse examination:
June 2005 - May 2009. Ottawa: Author.
Canadian Nurses Association. (2001). Position statement: Quality professional practice environments for registered nurses. Ottawa: Author.
Canadian Nurses Association. (2002). Code of ethics for registered nurses. Ottawa: Author.
Hynes-Gay, P., & Swirsky, H. (November/December, 2001). Mentorship in nursing.
Registered Nurse, 12-14.
McGregor, R. (1999). A precepted experience for senior students. Nurse Educator, 24(3), 13-16.
Messmer, P. R., Abelleria, A., & Erb, P. (1995). Code 50: An orientation matrix to track
orientation cost. Journal of Nursing Staff Development, 11(5), 261-64.
Wright, A. (2002). Precepting in 2002. The Journal of Continuing Education in Nursing,
33(3), 138-41.
10
Part III:
Preceptorship
Definition & Characteristics
The Websters New World College Dictionary defines a precept as a commandment, or
direction meant as a rule of action or conduct, and a preceptor as a teacher (Neufeldt
& Guralnik, 1998, p.1060).
While international definitions vary, Canadian nurses tend to refer to preceptorship as a
frequently employed teaching and learning method using nurses as clinical role models. It is
a formal, one-to-one relationship of pre-determined length, between an experienced nurse
(preceptor) and a novice (preceptee) designed to assist the novice in successfully adjusting to
and performing a new role (CNA, 1995, p. 3). Preceptorship usually involves acquiring a
basic level of knowledge, skills and personal attributes as well as being socialized into the
profession or domain of practice.
The novice may be a student or a practising nurse moving into a new role, domain or setting
(CNA, 1995). As such, she or he is acquiring new competencies required for safe, ethical
and effective practice based on commonly accepted standards. The new competencies may
be developed in relation to the new setting or domain of practice. For example, competencies could relate to an emergency room, community health, university teaching or research
setting; an administrative role; or providing direct care to particular types of clients, such as
patients with burns or hepatitis C.
13
Preceptorship experiences tend to be short term (1-2 months). The length is often predefined by
the educational institution or employer, who knows the characteristics of the typical participant,
the requirements of the client group and the typical setting in which the work takes place.
A preceptor must be a capable instructor who has achieved at least the novice-level competencies required by the participant. Some of the competencies a preceptor requires will be
dictated by the setting they work in and others by the nature of the preceptor role.3 For
example, it would be hard to imagine that a preceptor could be effective if they did not
demonstrate enthusiasm for the role.
Preceptees participate in both formative (ongoing) and summative (final) assessment and evaluation. Formal evaluation occurring in preceptorship programs can serve institutions by ensuring
that the novice has acquired the competencies required for safe, ethical and competent practice.
Most schools of nursing have programs that include preceptorship to help students gain clinical competence and prepare them for the transition to employment settings, especially in the
final stages of the program (e.g., consolidation or senior practicum experiences). Educational
programs for nurses who wish to acquire a degree in nursing, such as specialty and post-RN
programs, also use preceptorship to help students adjust to new roles. As well, it has become
common for staff developers in health service facilities and agencies to use preceptorship to
orient new employees or nurses who transfer to different units or areas of specialty.
Benefits
As organizations begin to compete for diminishing resources, they must explore and implement practices known to increase job satisfaction for nurses (Ryten, 1997). Specifically, preceptorship programs have been found to benefit preceptees, preceptors, health care institutions and the profession of nursing (Lockwood-Rayermann, 2003; Mahayosnand & Stigler,
1999; Neumann, et al., 2004; Wright, 2002).
For the participant, preceptorship has been found to facilitate successful entry into the nursing profession, help in developing judgment and skills and reduce the time taken to function
independently.
Preceptors benefit by having the satisfaction of seeing novices become more confident
(Neumann, et al., 2004; Wright, 2002). They also tend to be less susceptible to burnout
(McGregor, 1999). King and Bernick (2002) note that preceptors benefit from improved
self-esteem and increased self-awareness by being a role model.
For the institutions, preceptorship increases the quality of the professional practice environment (CNA, 2001) and saves more money than that expended for a traditional orientation
(Beeman, Jernigan & Hensley, 1999). A review of the literature by King and Bernick (2002)
found that for the institutions, preceptorship resulted in fewer resignations, decreased staff
turnover, increased staff satisfaction, enhanced knowledge and improved patient care.
The profession benefits by retaining practitioners with enhanced critical thinking (Myrick &
Yonge, 2002).
See Part V: Competencies for Preceptors and Mentors a list of competencies developed by CNA through the Preceptorship and
Mentoring Project.
14
Costs
There is a dearth of information in the literature about the costs of carrying out preceptorship
programs. The cost of preceptorship programs must take into consideration the following
factors (CNA, 1995):
time taken to plan, develop, carry out and evaluate the program
time and effort to develop policies and to prepare necessary administrative documents
time and resources required to publish written documents
support, consultation and orientation for role models and participants
preceptor recognition or remuneration
program coordination, evaluation and modification
possible travel costs for program coordinators
15
Rewards
Many institutions find that although there is much intrinsic motivation for preceptors it is
very important to also provide formal recognition and some reward (Greenberg et al., 2001;
Neumann et al., 2004; Stone & Rowles, 2002). The following examples illustrate how
organizations can reward preceptors.
Remuneration:
Role models can be compensated in a variety of tangible ways:
an education day with pay
a pay increase
vouchers for continuing education programs
16
17
Mentoring
Definition & Characteristics
The word mentor originates from Greek mythology, but in modern English, it refers to one
who is experienced and wise in ones profession, endowed with characteristics that cultivate
learning for the novice in a similar professional role (Hynes-Gay & Swirsky, 2001, p. 12).
The generally accepted view is that the mentor is older, more senior and experienced than
the more junior mentee, sometimes called a protg.4 The relationship is long-term, with the
goal of fostering the learning, growth and advancement of the mentee (Andrews & Wallis,
1999; Donner,Wheeler & Waddell, 1997).
The concept of mentoring, while traditionally associated with business or law, has become
more prevalent in nursing since the 1980s, especially in response to growing job dissatisfaction
and challenges to recruitment and retention. However, the definition of mentoring is not precise (Andrews & Wallis, 1999; Hynes-Gay & Swirsky, 2001; Kilcher & Sketris, 2003).
According to the CNA definition, mentoring involves a voluntary, mutually beneficial and usually long-term professional relationship. In this relationship, one person is an experienced and
knowledgeable leader (mentor) who supports the maturation of a less-experienced person with
leadership potential (mentee) (CNA, 1995). Mentoring provides a supportive environment and
positively influences professional outcomes. It can lead to an ongoing relationship and can occur
in all domains of nursing practice (administration, education, research or direct care).
The mentee often wishes to become more effective in a role, setting, clinical focus or domain
of practice. Examples of mentees include: a new manager who wishes to develop knowledge
and skills to manage effectively in a complex health care environment, a new educator working
in a university setting or a new researcher who wishes to learn how to apply for funding and
carry out research projects. The mentee is often motivated by a personal requirement for mastery within a complex environment.
Mentors may be experts and leaders within their field; however, an expert is not synonymous
with a mentor. Federwisch (1997) distinguishes between the expert and the mentor suggesting, an expert gives a definitive solution to a problem while a mentor guides people along
4
18
Both the terms protg and mentee are commonly used to identify the person in a relationship with the mentor. This guide employs the
term mentee, except where specific reference is made to programs or texts using protg.
(p. 3). Others report that participants in mentoring programs prefer a newer practitioner as a
mentor, one who can remember their own student experiences easily (Andrews & Wallis,
1999). It is a learning partnership positively influenced and better defined by the specific
personal characteristics and professional qualities of the mentor.
The time period for mentoring is usually longer and often less precisely defined than for preceptorship (Andrews & Wallis, 1997; Hynes-Gay & Swirsky, 2001). People may be engaged
in several mentoring experiences over their lives or even at one time. The length of the relationship can range from months to years and is usually determined by the time required for
the mentee to achieve their objectives, but in some cases, by changes to the relationship
between the mentor and mentee. The relationship differs from preceptorship as it is less
instructional, focuses less on supervision and assessment of performance and more on positively influencing through role modelling and guidance.
Informal mentoring relationships are based on mutual identification or attraction, are
unstructured and focus on the protg or mentee achieving long-term career goals. In contrast, formal mentoring relationships are more structured in purpose and duration and usually
involve organizational support (Kilcher & Sketris, 2003). Typically, this would be a situation
where a nurse is socialized and develops competencies in a new setting by being matched with
a more experienced colleague for support. Alternative approaches to mentoring include peer
mentoring, mentoring groups or multiple mentors (Kilcher & Sketris, 2003; RNAO, 2003).
Benefits
CNA considers mentoring an essential component within a quality professional practice
environment (CNA, 2001). A range of benefits for the mentor, mentee and institution have
been identified as follows (Greene & Puetzer, 2002; Kilcher & Sketris, 2003):
Mentor
enhanced self-fulfillment
increased job satisfaction and feeling of value
increased learning, personal growth and leadership skills
motivation for new ideas
potential for career advancement
Mentee
increased competence
increased confidence and sense of security
decreased stress
increased job satisfaction
expanded networks
leadership development
insight in times of uncertainty
19
Institution
improved quality of care
increased ability to recruit
decreased attrition
increased commitment to the organization
development of partnerships and leaders
Costs
Little information exists about the costs of mentoring programs; however, standard costs
vary from little to no cost for informal mentoring, to the costs of funding provided in fellowship award programs, the cost of orientation education programs and staff time for
monitoring or ongoing support. There may also be staff time costs where nurses take time
away from the work setting to pursue their goals.
See Part V: Competencies for Preceptors and Mentors a list of competencies developed by CNA through the Preceptorship and
Mentoring Project.
20
collaborate in the assessment of learning needs and review learning goals for feasibility
communicate with the coordinator to clarify expectations where necessary
provide encouragement and guidance to the mentee
In the same CNA project, mentees described their responsibilities as follows:
participate actively in the program (become an active learner and colleague)
co-assess specific learning needs and co-determine learning goals
adhere to the institutions policies and mission
adhere to provincial or territorial standards of practice and the Code of Ethics for
Registered Nurses (CNA, 2002)
Rewards
The rewards for the mentor are intrinsic to the partnership and in the satisfaction of seeing
the mentee progress. More formal mentoring programs often involve recognition at the institutional level. As is the case for preceptors, recognition can be in the form of educational
days, time off or lighter workloads during the mentoring period. Some mentors are recognized with extra pay or with other rewards to show appreciation (See discussion of rewards
and recognition for preceptorship pp. 16-17).
21
The Calgary Health Region Mentorship Program (2002) focuses on career development for
professional staff through voluntary, reciprocal mentoring relationships. The program offers
mentor/mentee matching, formal orientation and ongoing support. Mentors provide support, challenge and vision in assisting protgs to advance their expertise and leadership
skills, as well as improve work life satisfaction for both parties.
22
In one setting, the role of unit coach was to recognize the potential and target the growth
of individuals, through careful attention to actual performance [] by prompting nursing
staff to reflect upon their actions (Nelson et al., 2004). This pilot role was eventually incorporated into the role of the unit preceptor in this setting. The activities listed by these
authors for the unit coach appear to be very similar to those performed by clinical instructors working with groups of nursing students during clinical practicum courses.
In another example, at St. Josephs Health Care London, an experienced staff member, called
a clinical practice coach, works in a formal one-to-one relationship within the work setting,
to advance the learners (student, new staff or peer) quality of the practice (St. Josephs
Health Care London, 2002).
No doubt, coaching as a role is an exciting new avenue for professional growth and development in the nursing workplace. However, as yet, this role is not well defined or clearly distinguished from other overlapping roles such as manager, teacher, preceptor or mentor.
Coaching as a Strategy
This resource uses the more traditional definition of coaching to describe an approach,
strategy or activity carried out within a broader role to enhance learning (e.g., teacher, manager, preceptor, mentor). Coaching involves timely feedback on performance, to enhance
skills and qualities for success (Fuimano, 2004; Kilcher & Sketris, 2003; Nelson et al.,
2004). For example, a preceptor may use coaching while a preceptee is undertaking a new
technical skill, reinforcing what the preceptee is doing well and providing tips along the way;
a mentor might coach a mentee in developing a new skill such as chairing a meeting; nurses
themselves use coaching when helping clients learn new skills such as bathing a newborn or
self-administering insulin.
Other Models
Both preceptorship and mentoring focus on learning and growth within the work or practice
setting. Other types of programs that integrate practical work experience and academic education are becoming more prevalent within nursing, although mostly outside of Canada.
They can be found under many titles including learnership, externship, internship, apprenticeship and cooperative programs. Kerka (1999) reports that programs integrating work and
learning were offered in the United States as early as 1906.
Internship
The word intern is built on the root inter that means between, among or together
(Neufeldt & Guralnik, 1998) and confers a more neutral and preferable connotation than
the term orientation. A formal program for new graduates, internships help the transition
to paid work and to specific positions within the health care setting.
Internship programs usually require a time investment of several months to a year, depending on the setting in which interns work and the level of the participant. Interns are usually
paid employees. In some institutions, continued employment is contingent upon successful
completion of the internship experience, which might include classroom or one-to-one
teaching, support groups, individualized clinical experience, preceptorship or mentoring
(Blanzola, Lindeman & King, 2004).
23
Internship programs are common in the United States (See Part VII: Further Reading). Many
have written materials which can be accessed. Internship programs are not common in Canada,
but have emerged in some settings, for example at St. Michaels Hospital in Toronto (2003).
Learnerships
Learnerships are common outside of Canada and are considered by some to be an exciting
trend. The development of learnership is motivated, in part, by the nursing shortage.
Learnerships tend to be work-based education and skills development programs in which learners
find out why and how things should be done (Geyer, 2002). In typical learnerships, educational
and health care institutions work together. Educational institutions provide classroom-based
education and practice occurs under normal working conditions. This is similar to education
that occurred in Canada in hospital-based programs, the last of which closed in 1998.
Cooperative Program
The term cooperative program can have many meanings. For the purpose of this document, it
refers to an education program offering students alternating periods of work and study.
While cooperative programs have existed in North America since the early 1990s, they have recently been developed for nurses. Most cooperative programs alternate paid work and study and are
designed to enhance the development of the professional. They involve three main stakeholders:
the employer, the student and the educational institution (Simon & Houze, 1999).
Students apply for these credit programs, and if they meet the specified criteria, the employer
interviews them. Once accepted into the programs, students are expected to fulfill requirements
of employment, and they usually receive employment benefits such as a salary, vacation, sick
leave, retirement plans and life insurance.
The employer has the advantage of assessing students potential as long-term employees. The
students have real-life experiences in their chosen profession with potential employers. Upon
graduation, many return to work for the employer. The educational institution benefits by
being able to offer students this experience in a realistic setting to enhance their learning
(Simon & Houze, 1999).
The University of Alabama and Regional Medical Center (2002) has a cooperative program
for nurses. In this program, senior students work full time at the hospital during their summers and spring terms. Their earned wage increases as they gain experience. At first, students
work as nursing assistants, and later they work with nurse preceptors. Students are credited
for both the work as well as the class sessions. Placements are organized according to the best
fit for the employer as well as the participant.
BC Academic Health Council. (2002). Preceptor & mentor initiative for health sciences in BC.
Retrieved on April 28, 2004 from www.bcahc.ca/pm
Beeman, K., Jernigan, A., & Hensley, P. (1999). Employing new grads: A plan for success.
Nursing Economics, 17(2), 91-95.
Blanzola, C., Lindeman, R., & King, M. (2004). Nurse internship pathway to clinical
comfort, confidence and competency. Journal for Nurses in Staff Development, 20(1), 27-37.
Broscious, S.K., & Saunders, D.J. (2001). Clinical strategies: Peer coaching. Nurse Educator,
26(5), 212-14.
Brown, H. (1999). Mentoring new faculty. Nurse Educator, 24(1), 48-51.
Calgary Health Region. (March, 2002). Proposal for mentorship program submitted by
mentorship task group. Unpublished document.
Canadian Health Services Research Foundation. (2002). Career reorientation award. Call for
applications. www.chsrf.ca
Canadian Nurses Association. (1995). Preceptorship resource guide: Teaching and learning with
clinical role models. Ottawa: Author.
Canadian Nurses Association. (2001). Position statement: Quality professional practice environments for registered nurses. Ottawa: Author.
Canadian Nurses Association. (2002). Code of ethics for registered nurses. Ottawa: Author.
Donner, G. & Wheeler, M.M. (2002). Coaching. Retrieved December 8, 2003 from
http://www.donner-wheeler.com/coaching
Donner, G., Wheeler, M. M., & Waddell, J. (1997). The nurse manager as career coach.
Journal of Nursing Administration, 27(12), 14-18.
Federwisch, A.(1997). The keys to finding a mentor. Retrieved January 29, 2002 from
http://www.nurseweek.com/features/97-11/mentor2.html
Fuimano, J. (2004). Mentors forum: Add coaching to your leadership repertoire. Nursing
Management. 35(1), 16-17.
Geyer, N. (July, 2002). Learnerships: A new trend in nursing training. Nursing Update
26(6), 36-37.
Grandinetti, D. (2000). Could a coach get you motivated about medicine? Medical
Economics. 77 (1). Retrieved February 18, 2002 from http://www.findarticles.com/cf_0/
m3229/01_77/59330869/print.html
Greenberg, M., Colombraro, G., DeBlasio, J., & Rich, E. (2001). Rewarding preceptors:
A cost-effective model. Nurse Educator, 26(3), 114-16.
Greene, M. T., & Puetzer, M. (2002). The value of mentoring: A strategic approach to
retention and recruitment. Journal of Nursing Care Quality, 17(1), 63-70.
Hill, B. (2003). Guided learning programs: Preceptors handbook. Peterborough, ON:
Peterborough Regional Health Centre.
Achieving Excellence in Professional Practice A Guide to Preceptorship and Mentoring
25
Nigro, Nicholas. (2003). The everything coaching and mentoring book: How to increase productivity, foster talent, and encourage success. Avon: Adams Media Corporation.
Registered Nurses Association of Ontario (August, 2003). 12 weeks to a healthier career &
workplace. Advanced Clinical/Practice Fellowships. www.rnao.org/acpf
Regina QuAppelle Health Region. (2004). Overview of mentoring program for new graduates.
Unpublished document.
Ryten, E. (1997). A statistical picture of the past, present and future of registered nurses in
Canada. Ottawa: Canadian Nurses Association.
Simon, R., & Houze, R. N. (1999). The employer Us challenge: Developing a quality co-op
program. Retrieved March 13, 2003 from http://coop.www.ecn.purdue.edu/Coop/
Publications/employers_challenge
St. Michaels Hospital. Graduate nursing internship program. Retrieved on October 16, 2003
from http://www.stmichaelshospital.com/content/careers/nursing_internship.asp
St. Josephs Health Care London. Clinical practice coaches for clinical development: A reference
manual. London, ON: Author.
Stone, C. L., & Rowles, C. J. (2002). What rewards do clinical preceptors in nursing think
are important? Journal for Nurses in Staff Development, 18(3), 162-66.
University of Alabama. (2002). UA, DCH collaborate to launch cooperative education
programs for student nurses. Retrieved March 13, 2003 from http://uanews.ua.edu/oct02/
nursing102502.htm
Watson, S. (2003). Mentor preparation: Reasons for undertaking the course and expectations of the candidates. Nurse Education Today, 24(1), 30-40.
Wright, A. (2002). Preceptoring in 2002. The Journal of Continuing Education in Nursing,
33(3), 138-41.
Yonge, O., Myrick, F., & Haase, M. (2002). Student nurse stress in the preceptorship
experience. Nurse Educator, 27(2), 84-88.
27
Part IV:
Developing Programs
for Preceptorship and Mentoring
Competencies are the specific knowledge, skills, judgment and personal attributes required for a person to practise safely and ethically
in a designated role and setting (CNA, 2002a).
For the purpose of this document, domains of nursing practice include direct care, education, administration and research.
31
5. Describes the characteristics of the participants that will affect their learning needs
and styles (e.g., age, culture, societal roles, position)
6. Describes competencies required by the role models (see Part V)
7 . Identifies participant and instructional staff competencies in using intended technology
32
4. Validate and prioritize competencies required and that will be gained by participants
for each setting or domain of practice in which the program will be operating.
5. Address the issues of role model and participant liabilities.
6. Ensure adequate selection of and preparation of role models8 (see Appendix B for
suggested orientation topics).
7. Ensure adequate remuneration or reward for role models.
While expertise may be important in certain situations, an expert nurse may not always make the best mentor. An expert nurse may
make decisions rapidly, without going through the steps of problem solving in a way that can be followed by the novice. An experienced,
competent nurse, not yet an expert, may be more helpful to the novice because that nurse will remember and/or use all the steps
required for decision-making by a beginning nurse (Benner, 1984). It is important to consider the qualities of the individual nurse in
selecting mentors, as well as the specific competency requirements of participants.
33
Participant
Relationships
Competency
assessment
Goal setting
Experiences
Client care
34
Motivation
Program evaluation
Socialization
References Part IV
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice.
Menlo Park, CA: Addison-Wesley.
Canadian Nurses Association. (1995). Preceptorship resource guide: Teaching and learning with
clinical role models. Ottawa: Author.
Canadian Nurses Association. (2002a). Achieving excellence in professional practice: A guide to
developing and revising standards. Ottawa: Author.
Canadian Nurses Association. (2002b). Code of ethics for registered nurses. Ottawa: Author.
35
Part V:
The Process
The competencies for preceptorship and mentoring were developed over several months
with the input of expert working groups for each area. The process for developing these
competencies was similar to that used for the Canadian Registered Nurse Examination and
national nursing specialty exams. In this process, a group meets, agrees upon the definition for the concept of competency and quality criteria. Once statements are produced,
the group refines and critiques them. To validate the competencies, CNA sent surveys to
professional associations, national nursing groups and members of the nursing community
who expressed an interest in participating in the validation process for preceptor competencies
and/or the development and validation of mentor competencies. Survey participants were
39
Preceptor Competencies
The final list of competencies for preceptors is divided into five major categories:
Collaboration
Personal Attributes
Facilitation of Learning
Professional Practice
Knowledge of the Setting
Mentor Competencies
The final list of competencies for mentors is divided into four major categories:
Personal Attributes
Modelling Excellence in Professional Practice
Fostering an Effective Mentor/Mentee Relationship
Fostering Growth
Although there are some similarities between the frameworks for mentor and preceptor competencies (for example, the inclusion of categories for personal attributes and professional
practice), the individual competencies and other categories differ significantly.
The process of developing these competencies revealed the extent to which nurses value the role
of preceptorship and mentoring programs in advancing the profession and supporting nurses in
providing quality care. Committed to producing quality work, members of the expert working
groups who drafted the initial competency lists continued to provide consultation on the project.
Both validation tools were received with enthusiasm. Nurses responded from across the
country and from all domains of practice education, administration, research and direct
care. Many respondents provided additional insights and expressed appreciation for the
quality and importance of this work.
The data collected indicated that the mentoring role for nurses is not as well understood as
that of preceptor a conclusion supported by the literature used in this study. While preceptorships have long been used in nursing, mentoring is more recently being adapted for
nursing from the corporate setting. In particular, the concepts of risk-taking, creativity and
innovation core aspects of the mentoring process are not as familiar within nursing.
The following final lists of competencies for preceptors and mentors were developed by
CNA through the Preceptorship and Mentoring Project. For a comparison of preceptor and
mentor competencies see Table 2.
40
Preceptor Competencies 9
A. Collaboration
1. Collaborates with the preceptee at all stages of preceptorship
2. Establishes and maintains collaborative partnership with faculty advisor/manager
and other partners, as appropriate (e.g., peers, colleagues, other health care professionals, clients)
3. Networks with other preceptors to share best practices, when possible
4. Assists preceptee to interpret the preceptees role to individuals, families, communities and populations, as appropriate to the setting
B. Personal Attributes
1. Demonstrates enthusiasm and interest in preceptoring
2. Displays a genuine interest in the preceptees learning needs and growth
3. Fosters a positive learning environment
4. Adapts to change
5. Demonstrates effective communication skills with clients and colleagues
6. Demonstrates effective conflict-resolution skills
7. Demonstrates readiness and openness to learning along with the preceptee
8. Displays respect for the diversity of the preceptee (e.g., educational background,
race, culture)
9. Integrates the preceptee into the social culture of the agency
10. Possesses self-confidence and patience
11. Recognizes personal limitations and consults with others, as appropriate
C. Facilitation of Learning10
1. Assesses the preceptees clinical learning needs in collaboration with preceptee and
with faculty advisor/program coordinator, when applicable:
a. Reviews the core competencies according to the domain (i.e., practice, education,
administration), standards of practice, setting (e.g., hospital unit, clinical specialty,
community, educational setting), course or program objectives and level of practice
b. Discusses the expected learning outcomes based on the identified core competencies
10
CNA proposes this set of preceptor competencies as an ideal to be worked towards and as a guide for preceptor selection and orientation.
It is recognized that many excellent nurse preceptors may not demonstrate 100 per cent of these competencies.
This core component of the preceptor role is distinct as an addition to the professional working role of the nurse. Education in how to
effectively facilitate learning using the principles of adult learning would be a key focus of a preceptor orientation program.
41
c. Reviews past experience of the preceptee with respect to knowledge and skills to
obtain an understanding of strengths, areas for growth and specific learning
needs in the practice setting
d. Identifies the potential learning opportunities/assignments available in the practice setting that will match the identified areas for growth and learning needs
e. Assists the preceptee to develop individualized learning outcomes, for the practice role, according to available guidelines:
i. specific
ii. measurable and observable
iii. achievable within the time and resources available during preceptorship
iv. relevant and individualized to the preceptee and the setting
v. timelines are clearly identified (e.g., daily, weekly, other).
2. Plans clinical learning activities in collaboration with preceptee and with faculty
advisor/program coordinator, when applicable:
a. Assists preceptee to seek out a range of learning activities to address each learning
outcome and to make optimal use of preceptees time (e.g., clinical practice
assignments, structured educational activities, reading, written or computer
exercises, committee attendance, selected observational experiences, simulated
skills practice, nursing rounds)
b. When possible, chooses the clinical assignments/learning activities based on
identified learning outcomes and preceptee learning style
c. When possible, sequences clinical assignments/learning activities during the
preceptorship from simple to complex levels of challenge to promote increasing independence, for example:
i. physical condition (stable to unstable)
ii. single and multiple therapies
iii. psychosocial factors (e.g., family dynamics, language, culture, gender,
financial status)
iv. workload
3. Implements clinical learning activities in the practice setting in collaboration with
preceptee and with faculty advisor/program coordinator, when applicable:
a. Arranges appropriate clinical learning opportunities and strategies
b. Assists preceptee to obtain available resources in preparation for the learning activity
c. When possible, reviews the activities the preceptee intends to carry out and
addresses any areas for improvement or adjustment prior to actually carrying
out the practice activity
d. Discusses with the preceptee potential complications or unexpected events and
possible appropriate responses (e.g., troubleshooting), as relevant
e. Clarifies the role of the preceptor and preceptee for the planned activity
42
D. Professional Practice
1. Practices autonomously and consistently in accordance with the relevant nursing
standards established by the appropriate provincial or territorial regulatory body and
the Code of Ethics for Registered Nurses
2. Works towards meeting the current national/international standards of the nursing
specialties and best practices
3. Assists the preceptee to acquire the knowledge, skills and judgment to practice in
accordance with the relevant provincial or territorial nursing standards and the
Code of Ethics for Registered Nurses
4. Clarifies the roles, rights and responsibilities related to preceptorship with the
appropriate authority (e.g., agency, educational institution)
43
Mentor Competencies11
A. Personal Attributes
1. Demonstrates effective communication skills
2. Displays respect, patience and good listening skills
3. Demonstrates trustworthiness in working relationships
4. Demonstrates a positive attitude, enthusiasm, optimism and energy about the work
environment, nursing and mentoring
5. Expresses belief in the value and potential of others
6. Is open and accepting of the diversity of others
7. Demonstrates confidence
8. Reflects on own attitudes, values and beliefs
9. Displays visionary qualities (e.g., forward thinking and creative problem-solving)
10. Displays willingness to take risks (i.e., to develop and/or apply innovative ideas).
44
CNA proposes this set of mentor competencies as an ideal to be worked towards and as a guide for mentor selection and orientation. It is recognized that there is a variety of informal and formal arrangements emerging for mentoring in nursing. The applicability
of these competencies for mentoring will vary according to the program and the setting.
Canadian Nurses Association October 2004
45
D. Fostering Growth12
1. Coaches the mentee towards goal achievement
a. Encourages the mentee to identify own strengths, gaps and growth potential
b. Supports the mentee in the selection of appropriate and realistic goals
c. Guides the mentee to identify options/activities to meet goals
d. Encourages the mentee to identify realistic timelines for goal achievement
reflecting work and life balance
e. Guides the mentee to select an optimum level of challenge within their role,
setting or domain of practice (e.g., range of goals, incremental levels of difficulty
or complexity)
f. Guides the mentee to identify, clarify, define and manage barriers, problems and issues
2. Facilitates the mentees access to a wide variety of resources and opportunities to
meet goals (e.g., journals, space, activities, people, literature, agencies, interest
groups, committees, funding)
3. Encourages independence and autonomy
a. Encourages the mentee to reflect on own growth or achievements and future actions
b. Questions, probes and guides the mentee to explore new perspectives and insights
c. Knows when to provide direction and when to challenge the mentee
d. Encourages learning from mistakes and/or disappointments
e. Guides the mentee to avoid pitfalls and manage crises
f. Guides the mentee to develop own leadership in practice
g. Chooses an appropriate balance when contributing own experiences (i.e., good
story-telling and metaphors), as relevant
h. Guides the mentee to develop effective negotiation and conflict-resolution skills
4. Encourages the mentee in a process of visioning through free thinking, creativity and
innovation, as relevant to the setting
a. Challenges the mentee by offering new ideas, knowledge and practices
b. Assists the mentee to enhance the quality of the professional practice environment and to initiate change, where relevant and possible
c. Assists mentee to identify an alternate view of the future that may not be seen
by mentee (i.e., looking at the big picture, seeing beyond the details)
d. Assists the mentee to identify patterns, themes and trends and to acquire new
perspectives
e. Encourages and supports the mentee in risk taking (i.e., in developing new
knowledge, skills and innovations for the workplace)
12
46
This core component of the mentoring process is distinct, as an addition to the usual professional working role of the nurse.
A development program for mentors that focuses on how to foster growth would be a helpful adjunct to this emerging role in nursing.
Canadian Nurses Association October 2004
5. Facilitates the mentees integration within the organization and larger professional
community, as relevant to the setting
a. Shares professional networks with mentee
b. Helps the mentee navigate the system
c. Shares informal rules
d. Promotes the mentee by communicating their successes within the organization
and the profession
e. Shares ideas about opportunities for advancement
f. Encourages the mentee to engage in professional leadership activities such as
presentations, partnerships, specialty associations
g. Acts as a champion for the mentee
h. Solicits corporate (i.e., organizational) support for the mentee
47
Mentoring
Definitions
While definitions
for these concepts
vary internationally,
the definitions
presented here are
commonly
accepted by most
nurses in Canada.
Purpose
Type of
relationship
1:1, professional
Formal, structured
Level of recognition
for the role model
Recognition may be informal/personal or, in formal mentoring programs, this may occur at the institutional level
Characteristics of
role model
Time frame
Participant
characteristics
Assessment and
evaluation
13
48
This table is a composite of ideas based on recent literature, current examples of preceptorship and mentoring programs in Canada and the
CNA experience in developing competencies for preceptors and mentors.
Canadian Nurses Association October 2004
References Part V
BC Academic Health Council. (2002). Preceptor & mentor initiative for health sciences in BC.
Retrieved on April 28, 2004 from www.bcahc.ca/pm
Canadian Nurses Association. (2002). Achieving excellence in professional practice: A guide to
developing and revising standards. Ottawa: Author.
Canadian Nurses Association. (March, 2004). CNA Preceptorship and mentoring project:
Report to office of nursing policy. Unpublished document. Ottawa: Author.
49
Part VI:
Conclusion
Conclusion
Preceptorship and mentoring programs are exciting avenues for stimulating professional
growth, career development, staff morale and quality of care within nursing workplaces.
As health care organizations compete to attract and retain a high-caliber nursing workforce,
they will need to focus on providing quality practice environments.
The goal of CNAs Preceptorship and Mentoring Project is to foster the development of
carefully planned and well-supported programs for new and experienced staff nurses in all
domains of practice. This guide includes an overview and description of preceptorship and
mentoring and suggests approaches for creating and improving programs. The extensive
reference lists and examples of existing programs in Canada should provide practical support
for agencies and individual nurses to start or fine-tune their own programs. Through a stepby-step process involving expert working groups and validation surveys, CNA developed the
lists of competencies for mentors and preceptors published in the guide, offering a unique
contribution to the advancement of this work.
CNA encourages staff nurses, educators, managers and decision-makers at all levels to use
this guide as a foundation for building preceptorship and mentoring programs to help
nurses define and achieve their goals. The benefits of these programs improved quality
of care, a sense of accomplishment, job satisfaction demonstrate the value of preceptorship
and mentoring in helping nurses take that vital step from maintaining competence to
achieving excellence.
53
Part VII:
Further Reading
Further Reading
Association of Law Schools and Legal Employers. (n.d.). Working with a mentor: 50 practical
suggestions for success. Washington: Author.
Atkins, S., & Williams, A. (1995). Registered nurses experiences of mentoring undergraduate nursing students. Journal of Advanced Nursing, 21(5), 1006-15.
Baldwin, C., & Chandler, G. E. (2002). Improving faculty publication output: The role of a
writing coach. Journal of Professional Nursing, 18(1), 8-15.
Brehaut, C.J., Turick L. J.,& Wade, K.E. (1998). A pilot study to compare the effectiveness
of preceptored and nonpreceptored models of clinical education in promoting baccalaureate
students competence in public health nursing. Journal of Nursing Education, 37(8), 376-80.
Brown, C.L. (2001). A theory of the process of creating power in relationships. Nursing
Administration Quarterly, 26(2), 15-33.
Busen, N., & Engebretson, J. (1999). Mentoring in advanced practice nursing: The use
of metaphor in concept exploration. The Internet Journal of Advanced Nursing Practice
2(2), Available: http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijanp/
vol2n2/mentoring.xml
Byrne, M.W., & Keefe, M.R. (2002). Building research competence in nursing through
mentoring. Journal of Nursing Scholarship, 34(4), 391-96.
Canadian Nurses Association. (1998). Position statement: Educational support for competent
nursing practice. Ottawa: Author.
Canadian Nurses Association. (2001). Guidelines for continuing nursing education programs.
Ottawa: Author.
Caraway, M. (2000). NursingNet (Online). Available: http://www.nursingnet.org
Childrens & Womens Health Centre of British Columbia. (1999). Great preceptors need
great support. Vancouver: Author.
Childrens Hospital of Orange County. CHOC nursing RN internship program. Retrieved
March 13, 2003 from http://www.chochospital.org/nursing/nursing_internship.cfm
Crawford, M.J., Dresen, S.E., & Tschikota, S.E. (2000). From getting to know you to
soloing: The preceptor-student relationship. NT Research, 5(1), 5-20. Duke University
Hospital. Nursing internship program. Retrieved March 13, 2003 from http://internships.
dukehospital.org/nurse_intern/web.nsf/internships
Fawcett, D.L. (2002). Mentoring What it is and how to make it work. AORN Journal,
75(5), 950-54.
Freilburger, O.A. (2002). Clinical issues: Preceptor programs increasing student self-confidence and competency. Nurse Educator, 27(2), 58-60.
Frey, L. (May/June, 2002). Twelve weeks to a healthier career. Registered Nurse Journal, 12-15.
57
Giglio, L., Diamante, T., & Urban, J. (1998). Coaching a leader: Leveraging change at the
top. Journal of Management Development, 17(2), 93-105.
Gillan, J. (2000). Arena mentor arithmetic. Nursing Times, 9(21), 23.
Glass, N., & Walter, R. (2000). An experience of peer mentoring with student nurses:
Enhancement of personal and professional growth. Journal of Nursing Education, 39(4), 155-60.
Grealish, L. (2000). The skills of a coach are an essential element in clinical learning. Journal
of Nursing Education, 39(5), 231-3.
Gurney, D. (2002). Developing a successful 16-week transition ED nursing program: One
busy community hospitals experience. Journal of Emergency Nursing, 28(6), 505-14.
Haley-Andrews, S. (2001). Role play: Mentoring, membership in professional organizations,
and the pursuit of excellence in nursing. Journal of the Society of Pediatric Nurses, 6(3), 147.
Hansten, R., & Washburn, M. (1999). Individual and organizational accountability for
development of critical thinking. Journal of Nursing Administration, 29(11), 39-45.
Hardyman, R., & Hickey, G. (2001). What do newly-qualified nurses expect from preceptorship? Exploring the perspective of the preceptee. Nurse Education Today, 21(1), 58-64.
Iacono, M. (2002). Mentoring for perianesthesia nurses. Journal of PeriAnesthesia Nursing,
17(2), 118-22.
Ihlenfeld, J.T. (2003). Precepting student nurses in the intensive care unit. Dimensions of
Critical Care Nursing 2003, 22(3), 134-37.
Kelly, D., & Simpson, S. (2001). Action research in action: Reflections on a project to introduce
practice facilitators to an acute hospital setting. Journal of Advanced Nursing, 33(5), 652-9.
Kinsey, D.C. (1990). Mentorship and influence in nursing. Nursing Management, 21(5), 45-6.
MacComb Community College. (2003). Student handbook business/public service cooperative
education program. Retrieved March 13, 2003 from http://www.macomb.cc.mi.us/coop/
StudentHandBookBus.asp
Meigs, J. (1999). Mentoring: Building nursings future now. AWHONN Lifelines, 3(1), 55-6.
Myrick, F. (2002). Preceptorship and critical thinking in nursing education. Journal of
Nursing Education, 41(4), 154-64.
Myrick, F., & Barrett, C. (1994). Selecting clinical preceptors for basic baccalaureate nursing
students: A critical issue in clinical teaching. Journal of Advanced Nursing, 19(1), 194-98.
National Nursing Competency Project. (1997). National nursing competency project: Final
report. Ottawa: Author.
Nelson, B. (1994). 1001 ways to reward employees. New York: Workman Publishing.
Oermann, M. H. (2001). One-minute mentor. Nursing Management, 32(4), 12.
Ohrling, K., & Hallberg, I. (2001). The meaning of preceptorhsip: Nurses lived experience
of being a preceptor. Journal of Advanced Nursing, 33(4), 530-40.
58
Oregon Health & Science University. (2003). Precepted internship programs. Retrieved
13 March 2003 from http://www.ohsu.edu/hr/nurs_intern.htm
Peer Systems Consulting Group Inc. (2000). Tips for meeting with a mentor. Retrieved
March 26, 2002 from http://www.mentors.ca/mentorpartnertips.html
Pullen, R.L., Murray, P.H., & McGee, K.S. (2001). Care groups: A model to mentor novice
nursing students. Nurse Educator, 26(6), 283-88.
Pulsford, D., Boit, K., & Owen, S. (2002). Are mentors ready to make a difference? A survey of mentors attitudes towards nurse education. Nurse Education Today, 22(6), 439-46.
Registered Nurses Association of British Columbia. RNABC standards for nursing practice:
Preceptor self-assessment guide. Vancouver: Author.
Ryen, M. (2003). A buddy program for international nurses. Journal of Nursing
Administration, 33(6), 350-52.
Shaffer, B., Tallarico, B., & Walsh, J. (2000). Win-win mentoring. Dimensions of Critical
Care Nursing, 19(3), 36-8.
Sharkee, S. (Nov/Dec, 2001). Presidents view mentorship: Fundamental or frill? Retrieved
July 31, 2003 from http://www.rnao.org/html/rn_jrn_presidentsview_nov2001.htm
Smith, P. (1997). The effectiveness of a preceptorship model in postgraduate education for
rural nurses. Australian Journal of Rural Health, 5(3), 147-52.
Stewart, B.M., & Krueger, L.E. (1996). An evolutionary concept analysis of mentoring in
nursing. Journal of Professional Nursing, 12(5), 311-21.
Trossman, S. (2001). Mentoring leads to meaningful relationships, professional growth.
American Nurse, 30(2), 12.
Wills, C.E., & Kaiser, L. (2002). Navigating the course of scholarly productivity: The protgs role in mentoring. Nursing Outlook, 50(2), 61-6.
Yonge, O., Ferguson, L. Myrick, F., & Haase, M. (2003). Faculty preparation for the preceptorship experience: The forgotten link. Nurse Educator, 28(5), 210-11.
Yonge, O., Krahn, H., Trojan, L., Reid, D., & Haase, M. (2002). Supporting preceptors.
Journal for Nurses in Staff Development, 18(2), 73-79.
Zimmermann, P.G. (2002). So youre going to precept a nursing student: One instructors
suggestions. Journal of Emergency Nursing, 28(6), 589-92.
59
Appendixes
Appendix A: Definitions
Buddy System
An unprofessional term referring to a relationship between an experienced nurse and a
novice, in which the senior buddy is a resource person the newcomer can go to for advice or
information on an episodic basis. The term buddy is best relegated to other venues.
Coaching
Coaching, an idea derived from the world of sports, is most often used to describe an
approach or strategy to foster development (especially skills learning) through positive,
timely feedback. Coaching is an activity frequently carried out as part of the larger roles of
educator, manager, preceptor or mentor.
Competencies
Competencies include, but are not limited to, knowledge, skills attitudes, values and
judgments, as well as applied values and judgments required to practise nursing within
a particular context, setting or role.
Externship
A period of concentrated practice for students who generally receive pay at ancillary rates
not necessarily one-to-one teaching/learning. Also referred to as an internship.
Internship Program
A formal program for graduates of educational programs, usually with paid positions, to
help in the transition to work. While not necessarily one-to-one teaching/learning, the
programs provide familiarity for recent graduate or experienced nurses new to the area of
specialization.
Mentoring
A voluntary, mutually beneficial and long-term relationship where an experienced and
knowledgeable leader (mentor) supports the maturation of a less experienced nurse with
leadership potential (mentee).
Online Mentoring
Use of Internet technology (chat, e-mail, etc.) to carry out aspects of mentoring. Advantages
of online mentoring include efficiency of communication, open correspondence and access
to more geographically isolated regions.
63
Preceptorship
A frequently employed teaching and learning method using nurses as clinical role models. It
is a formal, one-to-one relationship of pre-determined length, between an experienced nurse
(preceptor) and a novice (preceptee) designed to assist the novice in successfully adjusting to
a new role. The novice may be a student or an already practising nurse moving into a new
role, domain or setting.
Role Modelling
A teaching strategy used in many situations, not necessarily a one-to-one relationship, in
which the novice observes the practice of the master. This is an essential element of preceptorship and mentoring.
Transition Program
An in-depth program to assist the experienced nurse to acquire the competencies she or he
required for subspecialty practice.
64
65
Causes of Conflict
Poor communication
Dissatisfaction with management style
Weak leadership
Lack of openness or willingness to share
66
INITIALS
RATING
3
Role Model
Participant
ADDITIONAL
COMMENTS
Explanations
1. The description of competencies means describing the knowledge, skills or personal
attributes required for practice in a specific setting, specialty or domain. For example,
conduct a catheterization (skill), describe admission procedure (knowledge), demonstrate willingness to be sensitive to culture (value) and describe the importance of
life-long learning (attitude).
2. A rating of 1 is expert, 2 is acceptable and 3 is beginning or safe.
3. The initials column can be used where other practitioners are involved in competency assessment or if used in a cooperative program, it can be assessment from a
teacher and then a co-worker.
67
68